Findings: AAS-1. Only noted for "single dilated loop of colon under an elevated left hemi-diaphragm." Patient sent home from the ER.
CT-1. Patient received CT the next day. Similar findings noted (no acute pathology). Patient sent home again
AAS-2A. Caliber change is noted in gas just distal to the splenic flexure concerning for obstruction. Patient admitted.
AAS-2B (w/ Barium): Taken on day of admit (3rd day). A tortuous narrowing was observed w/ intermittent passage of contrast past splenic flexure. Also concerning for obstruction (partial)
EGD-1 &
EGD-2: show extrinsic compression, likely from the diaphragm.
EGD-3: Dusky, friable mucosa seen c/w ischemic colitis

Findings: AAS-1. Only noted for "single dilated loop of colon under an elevated left hemi-diaphragm." Patient sent home from the ER.
CT-1. Patient received CT the next day. Similar findings noted (no acute pathology). Patient sent home again
AAS-2A. Caliber change is noted in gas just distal to the splenic flexure concerning for obstruction. Patient admitted.
AAS-2B (w/ Barium): Taken on day of admit (3rd day). A tortuous narrowing was observed w/ intermittent passage of contrast past splenic flexure. Also concerning for obstruction (partial)
EGD-1 &
EGD-2: show extrinsic compression, likely from the diaphragm.
EGD-3: Dusky, friable mucosa seen c/w ischemic colitis